传统后正中入路腰椎管狭窄症手术治疗的疗效评价

Efficacy Evaluation of Traditional Posterior Midline Approach in the Treatment of Lumbar Spinal Stenosis Disease

目的:观察腰椎管狭窄症行传统后正中入路手术治疗的效果,并对其疗效进行分析评价。方法:选取本院2010年1月-2015年1月收治的60例腰椎管狭窄症患者作为此次研究对象,患者在入院后均进行过临床影像学检查,已被确诊为腰椎管狭窄症,并且能够接受对其使用传统后正中入路手术,记录其手术结果。结果:腰椎管狭窄症患者实行传统后正中入路手术后,手术切口长度为(14.2±2.4)cm,术中出血量为(302.4±42.2)m L,术后引流量为(126.1±54.1)m L,手术时间为(145.3±25.1)min。其术前的腰痛VSA评分为(7.4±1.2)分,腿痛VSA评分为(8.2±0.9)分,腰椎ODI指数为(49.1±4.1)%;术后3个月的腰痛VSA评分为(4.9±1.3)分,腿痛VSA评分为(1.8±0.4)分,腰椎ODI指数为(39.2±3.5),末次随访的腰痛VSA评分为(2.8±0.9)分,腿痛VSA评分为(1.3±0.5)分,腰椎ODI指数为(24.2±6.4)%。末次随访各项指标明显优于术后,术后各项指标明显优于术前,比较差异均有统计学意义(P<0.05)。结论:为患有腰椎管狭窄症的患者实行传统后正中入路手术能够明显控制患者病情,改善腰椎管狭窄症对患者的影响,避免此类病症对患者的伤害,降低患者的术前、术后3个月、末次随访的腰痛VSA评分和腿痛VSA评分,同时降低患者的腰椎ODI指数,为患者病情治疗提供了有效手术价值经验,值得在临床上推广。

Objective：To observe and analyze the efficacy of traditional posterior midline approach in the treatment of lumbar spinal stenosis disease.Method：60 patients with lumbar spinal stenosis disease as the research objects were selected in our hospital from January 2010 to January 2015,they were given traditional posterior midline approach surgery treatment, its surgery results were recorded.Result：Lumbar spinal stenosis disease patients in the treatment of traditional posterior midline approach surgery,surgical incision of length was（14.2±2.4）cm,intraoperative blood loss was（302.4±42.2）m L,postoperation volume of drainage was（126.1±54.1）m L,operative time was（145.3±25.1）min.Preoperative lumbago VSA score was（7.4±1.2）score,leg pain for VSA score was（8.2±0.9）score,lumbar ODI was（49.1±4.1）%;postoperative 3 monthes lumbago VSA score was（4.9±1.3）score,leg pain for VSA score was（1.8±0.4）score,lumbar ODI was（39.2±3.5）%;the last follow-up for lumbago VSA score was（2.8±0.9）score,leg pain for VSA score was（1.3±0.5）score,lumbar ODI was（24.2±6.4）%.At the end of the follow-up of each index was better than preoperative,each index was better than preoperative,the differences were statistically significant（P〈0.05）.Conclusion：For patients with lumbar spinal stenosis disease after practice the traditional surgery patients can significantly control center into the road, lower back pain in patients with VSA score and the leg pain VSA score, at the same time, patients with lower lumbar ODI index, experience provides effective treatment for the patient,it is worth to strengthen and promote in clinic.